CAJ | 학술논문

目的分析应用掌、指背皮神经营养血管蒂逆行岛状皮瓣修复手指皮肤缺损的疗效.方法应用掌背皮神经营养血管蒂逆行岛状皮瓣18例(18块),带指神经背侧支的指背逆行岛状皮瓣15例(17块),修复手指皮肤缺损.观察皮瓣的成活率、质地、色泽和感觉.结果术后皮瓣发生肿胀2例,静脉危象2例.33例35块皮瓣全部存活.术后随访时间为3～18个月,平均12个月.皮瓣外观、质地、弹性良好,有部分浅感觉恢复.结论掌、指背皮神经营养血管蒂逆行岛状皮瓣不损伤主要血管、神经,操作简单,是修复手指创面的理想方法.
목적 분석응용장、지배피신경영양혈관체역행도상피판수복수지피부결손적료효.방법 응용장배피신경영양혈관체역행도상피판18례(18괴),대지신경배측지적지배역행도상피판15례(17괴),수복수지피부결손.관찰피판적성활솔、질지、색택화감각.결과 술후피판발생종창2례,정맥위상2례.33례35괴피판전부존활.술후수방시간위3～18개월,평균12개월.피판외관、질지、탄성량호,유부분천감각회복.결론 장、지배피신경영양혈관체역행도상피판불손상주요혈관、신경,조작간단,시수복수지창면적이상방법.
Objective To evaluate the treatment outcome of using dorsal reverse island neurocutaneous flaps from dorsum of the hand or finger for repair of finger skin defects. Methods Eighteen reverse island flaps (in 18 cases) pedicled on the nutritional vessels of dorsal metacarpal cutaneous nerve and 17 reverse island flaps (in 15 cases) pedicled on the nutritional vessels of dorsal branch of the proper digital nerve were used to repair skin defects of the fingers. The survival rate, texture, colour, and sensation of the flaps were observed.Results Swelling of the flap occurred in 2 cases, while venous crisis was seen in 2 cases. All 35 flaps of the 33 eases survived. Postoperative follow up period ranged from 3 to 18 months, with an average of 12 months. The appearance, texture and elasticity of the flaps were good. Partial recovery of light touch was observed.Conclusion Harvest of dorsal reverse island neurocutaneous flap does not sacrifice major vessels and nerves.The operation is simple. It is an ideal method for repairing soft tissue defects of the finger.